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HomeMy WebLinkAbout3-COL-14DnBName Unit Block pCxf% Lot ,� 7 !J /1�, �✓ Date of Mark -out Date of Burial 9�/ dl AK Time % % 00. S 1%� Name of Funeral Home Authorized by CYNTHIA LOUISE SPINKS April 28, 1956 - August 20, 2014 Cynthia Louise Spinks (Cindy), 58, of Sebastian (formerly Boynton Beach), passed peacefully on Wednesday, August 20, 2014 at the VNA Hospice House in Vero Beach. Cindy fought a brave and hard battle against Leukemia. Cindy was a loving and true friend to many. She had the most caring heart and would do without to help others in need. She most cherished her large and loving family. Cindy was born on April 28, 1956 in Binghamton, NY. Her family moved to Boca Raton from Vestal, IVY when she was 11. She attended Boca High and graduated from Boca Prep School in 1974. She worked in the casual furniture business for many years. She was an active member of Beta Sigma Phi sorority for many years. Cindy is survived by her loving husband of 23 years, Randell; parents Frank and Betty Lou Sanzo; daughter, Kari Dennis and friend George Johnson; Sister Beth Larson, her husband Charlie; two brothers, Frank Sanzo and wife Shari, Steven Sanzo and Michelle; grandsons, Bailey Dennis, Tylar and Charles Dennis; nieces and nephews, Charlie, Jr. (Tiffany), Lindsay (Matt), Frankie, Jr. , (Lindsay) , Tawny (James), Kirstie and Andrew; Uncle Bob Purtell and beloved cousins, Debbie Purtell, Becky Palmer, Linda Spruill and David Purtell. Certificate No. 2433 CITY OF SEBASS T1 AN Certificate Of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Frank L. & Elizabeth Sanzo 110 Paddock Street Sebastian, FL 32958 In and for consideration of the sum of $4,000.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following niches: Unit 3, Columbarium, Niche 14dnb & 39dnb of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 271' day of August, 2014. CITY OF SEBASTIAN, FLORIDA Joseph F. Griffin City Manager ATTEST: Sally A. Mai b, MMC City Clerks CITY OF SEBASTIAN CITY CLERK'S OFFICE 4 9 1 9 + RECEIPT Name M5. 151 - ' e r 4 g SQn t El Cash Date q-10-114 'G Check # 312 5 No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC /Code of Ordinances 001501341830 Election Qualifying Fees 801010 343800 Cemetery Lots j Lot/Niche l Ltnb Block ,Unit 3 001501 343805 Cemetery Fees ! 5o, U v LjTotal Paid Initials White - Dept. of Origin 9 Yellow - Finance • Pink - Applicant Vera Beach Crematory, LLC 1830 Wilbur Avenue Vera Beach, Florida 32960 We hereby certify that these are the cremated human remains of: Cynthia Louise Spinks August 20, 2014 (Date of Death) Strunk Funeral Home and Crematory (Funeral Home in Charge) 3730 (Cremation ID Number) August 25, 2014 (Date of Cremation) Sebastian, Florida (City and State) By(' (Cremator Signature) State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT HEALTH DATE PRINTED: September 9, 2014 TRACKING NUMBER: 2014121019 1. DECEDENT INFORMATION Name of Deceased Date of Death CYNTHIA LOUISE SPINKS August 20, 2014 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE Name and Address of Funeral Home /Direct Disposal Establishment Fla. Lic, No./Reg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589 -1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral DirectorlDirect Disposer Fla. Lic. No./Reg. No. WILLIAM B. WHITTAKER F026900 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2014- FO411170 -5125 a G / Date Issued: August 20, 2014 Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: C14 -19 -08 -298 4. CEMETERY OR CREMATORY Place of Disposition: VERO BEACH CREMATORY Method of Disposition: CREMATION Date of Disposition: EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E, 10/12 64V- 1.011, Florida Administrative Code vo-se 4, r �j Total Paid 75. -7 0 Initials White - Dept. of Origin • Yellow - Finance • Pink . Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE /, (] ') RECEIPT `+ I C Name (_C.c.i!J t "_- 7 1 1 t`-i'' I C _L/ 0 Cash Date 1 !✓ 7 / Check# 3 f2 `'f ,fit No, Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies /Bid Specs. 001501 341910 LDC1Code of Ordinances 001501341930 Election Ouaiifying Fees 601010 343800 Cemetery Lots LotfNiche . Block , Unit 001501 343805 Cemetery Fees vo-se 4, r �j Total Paid 75. -7 0 Initials White - Dept. of Origin • Yellow - Finance • Pink . Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE _ 4912 RECEIPT l� r ' f —'s Sat) C, Name ,� / ❑ Cash Datew Z7-/q 1( Check # 3 0 7 No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies[Bid Specs. 001501 341910 LDC1Code of Ordinances 001501 341930 Election qualifying Fees Cemetery Lots 601010 343800 , LoMiche � ,i /� , Block Unit 001501343605 Cemetery Fees Total Paid i "1��;,�1�� Initials White - Dept. of Origin + Yellow - Finance a Pink - Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso .Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8295 or 388 -8214 Fax: (772) 589 -5570 FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE #: 772 -589 -1000 (Check One) OPEN BURIAL LOT OPEN CREMAINS LOT X OPEN COLUMBARIUM NICHE Lot -Block Unit Lot Block Unit Niche DNB Block 14B Unit 3 N S E W BURIAL DATE AND SERVICE TIME: Thursday, 9/11/2014, 2:30 PM GRAVESIDE FOR DECEASED: Cynthia Louise Spinks Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Elizabeth L. Sanzo jaor4 0 9/9/2014 Name Sign re Date I certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: William B. Whittaker, Jr. Name Signature 9/9/2014 Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have,,been paid: N 60 a- { 7-//z i /;` Cer64ry Se on Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion C)�ej to 2-D L - Sari 2-D I D d d L)o<- �t r-;- cr State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT HE�ILTH DATE PRINTED: September 9, 2014 TRACKING NUMBER: 2014121019 1. DECEDENT INFORMATION Name of Deceased Date of Death CYNTHIA LOUISE SPINKS August 20. 2014 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE Name and Address of Funeral Home /Direct Disposal Establishment Fla. Lic. No. /Reg. No, Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589 -1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral Director /Direct Disposer Fla. Lic. No.IReg. No. WILLIAM B. WHITTAKER F026900 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. /► Permit Number: 2014 - 17041870 -5125 Date Issued: August 20, 2014 Meade Grigg, State Registrar J 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL. DISPOSITION Authorization given by Medical Examiner District 19 Approval Number: C14- 19- 08.298 4.. CEMETERY OR CREMATORY Place of Disposition: VERO BEACH CREMATORY Method of Disposition: CREMATION Date of Disposition: EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 325E, 10112 64V- 1.011, Florida Administrative Code / ` C�`-'I Total Paid Initials White - Dept. of Origin • Yellow - Finance + Pink • Applicant CITY OF SEBASTIAN CITY CLERK'S OFFICE 4919 RECEIPT Name MS. G 11 ZZL, ✓e,� 0 Cash Date 1— `0' I `"1 V Check p 3 t 2 5 No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501341910 LDClCode of Ordinances 001501 341930 Election. Qualifying Fees 601010 343800 Cemetery Lots J LoMiche I q d n b, Block I z Unit �J 001501 343805 Cemetery Fees 1 r • a / ` C�`-'I Total Paid Initials White - Dept. of Origin • Yellow - Finance + Pink • Applicant